Abstract
Introduction. The incidence of gastric remnant carcinoma does not decrease after partial gastrectomy. The aim of this study was to evaluate the clinical features and prognosis of gastric remnant carcinoma after treatment. Methods. Among 412 gastric carcinoma patients who were admitted to our hospital, 21 were found to have gastric remnant carcinoma. We analyzed their clinicopathological features and prognosis. Results. Prognosis did not differ significantly in terms of gender, age, tumor lymph node metastasis stage, tumor location, and time interval between first and subsequent operations. However, it was influenced by intensive curative gastrectomy with resection of local lymph nodes. Conclusion. Long-term follow-up after gastrectomy, appropriate curative resection, and prevention and management of comorbidities are important to detect gastric remnant carcinoma at an early stage.
Highlights
The incidence of gastric remnant carcinoma does not decrease after partial gastrectomy
Balfour was the first to demonstrate the existence of gastric remnant carcinoma that occurred more than 5 years after partial gastrectomy for benign gastric ulcer disease
The incidence of gastric remnant carcinoma after sub-total gastrectomy, especially via the Billroth I operation, varies from 0.4% to 5%, and the cumulative risk correlates with increased incidence 15 years after the operation
Summary
The incidence of gastric remnant carcinoma does not decrease after partial gastrectomy. Among 412 gastric carcinoma patients who were admitted to our hospital, 21 were found to have gastric remnant carcinoma We analyzed their clinicopathological features and prognosis. Prognosis did not differ significantly in terms of gender, age, tumor lymph node metastasis stage, tumor location, and time interval between first and subsequent operations It was influenced by intensive curative gastrectomy with resection of local lymph nodes. Proton-pump inhibitor therapy and therapeutic endoscopy are currently being performed instead of partial gastrectomy for bleeding peptic ulcers, the incidence of gastric remnant carcinoma is not decreasing. This malignancy has been described in patients who have undergone gastric bypass surgery for obesity. The aim of this study was to evaluate the clinical features and prognosis of gastric remnant carcinoma after treatment
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